ANCC FNP BOARD EXAM LATEST
2023-2024 REAL EXAM 200+
QUESTIONS AND CORRECT
ANSWERS WITH
RATIONALES|ALREDY GRADED A+
When counseling a breastfeeding woman about alcohol use during lactation, you relate
that:
A. drinking a glass of wine or beer will enhance the let-down reflex.
B. because of its high molecular weight, relatively little alcohol is passed into breast
milk.
C. maternal alcohol use causes a reduction in the amount of milk ingested by the infant.
D. infant intoxication can be seen with mother's having as few as one to two alcoholic
drinks. - ANSWER- C
At what point after childbirth can a combined oral contraceptive be started without other
risk factors for venous thrombosis in a woman who is not breastfeeding?
A. 1 day
B. 1 week
C. 3 weeks
D. 6 weeks - ANSWER- C
The anticipated average daily weight gain during the first 3 months of life is
approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. - ANSWER- D
The average required caloric intake in an infant from age 0 to 3 months is usually:
A. 40 to 60 kcal/kg/d.
B. 60 to 80 kcal/kg/d.
C. 80 to 100 kcal/kg/d.
D. 100 to 120 kcal/kg/d. - ANSWER- C
Physiologic jaundice usually presents between days 3 and 5 and results from to the
normal breakdown of fetal hemoglobin and immature liver metabolism. ___________
bilirubin is elevated in this process. - ANSWER- Unconjugated
,If there is an increase in ___________ bilirubin or jaundice occurs in the first _____
hours of life, pathological etiologies need to be considered, such as an ABO
incompatibility, familial Gilbert syndrome, or other anomaly. - ANSWER- conjugated, 24
Progestin-only oral contraceptive options can be started _________ postpartum if the
woman is not breastfeeding and as early as ____ weeks postpartum if she is
breastfeeding. - ANSWER- immediately, 3 weeks
31. It is considered a developmental "red flag" if a child does not respond to his or her
name by nine months of age.
A. true
B. false - ANSWER- B
One physical sign of fragile X syndrome in males includes:
A. large eyes.
B. large forehead.
C. small head.
D. recessive jaw. - ANSWER-B
36. Klinefelter syndrome is most commonly marked by:
A. language impairment in males.
B. fine motor delay in males.
C. hip and breast enlargement in women.
D. attention deficit disorder in males. - ANSWER- A
38. At which of the following ages in an infant's life is parental anticipatory guidance
about teething most helpful?
A. 1 to 2 months
B. 2 to 4 months
C. 4 to 6 months
D. 8 to 10 months - ANSWER- C
_________ syndrome, a chromosomal alteration, is the most common known cause of
autism in either gender and occurs in all racial and ethnic groups. - ANSWER- Fragile X
________ syndrome (XXY male), also is associated with developmental issues, mainly
verbal in nature (Table 17-4). - ANSWER- Klinefelter
At which of the following ages in a young child's life is parental anticipatory guidance
about temper tantrums most helpful?
A. 8 to 10 months
B. 10 to 12 months
C. 12 to 14 months
,D. 14 to 16 months - ANSWER- B
At which of the following ages in a young child's life is parental anticipatory guidance
about using "time out" as a discipline method most helpful?
A. 12 to 18 months
B. 18 to 24 months
C. 24 to 30 months
D. 30 to 36 months - ANSWER- B
The following are risk factors for hypertension in children and teens (choose all that
apply):
A. being obese.
B. drinking whole milk.
C. being exposed to second-hand smoke.
D. watching 2 or more hours of television per day. - ANSWER- A and C
Fruit juice intake is acceptable in children 6 months and older per the following
recommendation (choose all that apply):
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
D. The juice is consumed in the morning with breakfast.
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5
years. - ANSWER- ABE
In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive
cardiovascular evaluation should be conducted by the following methods (choose all
that apply):
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. - ANSWER- A and D
At what age is it appropriate to recommend dietary changes to parents if overweight or
obesity is a concern?
A. 12 months old
B. 5 years old
C. 10 years old
D. 18 years old - ANSWER- A
The following are risk factors for type 2 diabetes mellitus in children and teens (choose
all that apply):
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
, C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. - ANSWER- ABD
Screening children with a known risk factor for type 2 diabetes mellitus is recommended
at age 10 or at onset of puberty, and should be repeated how often?
A. every other year.
B. every year.
C. every six months.
D. if child presents with a body mass index in the 85th percentile or higher. - ANSWER-
B
Prediabetes in children is defined as (choose all that apply)?
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125 mg/dL
or 7 mmol/L).
B. impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11
mmol/L).
C. body mass index in the 85th percentile or higher.
D. body mass index in the 60th percentile or higher. - ANSWER- A and B
Risk factors for dyslipidemia in children include (choose all that apply):
A. blood pressure at the 70th to 80th percentile for age.
B. breastfeeding into the toddler years.
C. family history of lipid abnormalities.
D. family history of type 2 diabetes mellitus. - ANSWER- C and D
Screening cholesterol levels in children with one or more risk factors begins at what
age?
A. birth
B. 2 years
C. 5 years
D. 10 years - ANSWER- B
An acceptable level of total cholesterol (mg/dL) in children and teens is:
A. <170 mg/dL or 9.4 mmol/L.
B. <130 mg/dL or 7.2 mmol/L.
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L.
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes -
ANSWER- True
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100
mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-
2023-2024 REAL EXAM 200+
QUESTIONS AND CORRECT
ANSWERS WITH
RATIONALES|ALREDY GRADED A+
When counseling a breastfeeding woman about alcohol use during lactation, you relate
that:
A. drinking a glass of wine or beer will enhance the let-down reflex.
B. because of its high molecular weight, relatively little alcohol is passed into breast
milk.
C. maternal alcohol use causes a reduction in the amount of milk ingested by the infant.
D. infant intoxication can be seen with mother's having as few as one to two alcoholic
drinks. - ANSWER- C
At what point after childbirth can a combined oral contraceptive be started without other
risk factors for venous thrombosis in a woman who is not breastfeeding?
A. 1 day
B. 1 week
C. 3 weeks
D. 6 weeks - ANSWER- C
The anticipated average daily weight gain during the first 3 months of life is
approximately:
A. 15 g or 0.53 oz.
B. 20 g or 0.7 oz.
C. 25 g or 0.88 oz.
D. 30 g or 1 oz. - ANSWER- D
The average required caloric intake in an infant from age 0 to 3 months is usually:
A. 40 to 60 kcal/kg/d.
B. 60 to 80 kcal/kg/d.
C. 80 to 100 kcal/kg/d.
D. 100 to 120 kcal/kg/d. - ANSWER- C
Physiologic jaundice usually presents between days 3 and 5 and results from to the
normal breakdown of fetal hemoglobin and immature liver metabolism. ___________
bilirubin is elevated in this process. - ANSWER- Unconjugated
,If there is an increase in ___________ bilirubin or jaundice occurs in the first _____
hours of life, pathological etiologies need to be considered, such as an ABO
incompatibility, familial Gilbert syndrome, or other anomaly. - ANSWER- conjugated, 24
Progestin-only oral contraceptive options can be started _________ postpartum if the
woman is not breastfeeding and as early as ____ weeks postpartum if she is
breastfeeding. - ANSWER- immediately, 3 weeks
31. It is considered a developmental "red flag" if a child does not respond to his or her
name by nine months of age.
A. true
B. false - ANSWER- B
One physical sign of fragile X syndrome in males includes:
A. large eyes.
B. large forehead.
C. small head.
D. recessive jaw. - ANSWER-B
36. Klinefelter syndrome is most commonly marked by:
A. language impairment in males.
B. fine motor delay in males.
C. hip and breast enlargement in women.
D. attention deficit disorder in males. - ANSWER- A
38. At which of the following ages in an infant's life is parental anticipatory guidance
about teething most helpful?
A. 1 to 2 months
B. 2 to 4 months
C. 4 to 6 months
D. 8 to 10 months - ANSWER- C
_________ syndrome, a chromosomal alteration, is the most common known cause of
autism in either gender and occurs in all racial and ethnic groups. - ANSWER- Fragile X
________ syndrome (XXY male), also is associated with developmental issues, mainly
verbal in nature (Table 17-4). - ANSWER- Klinefelter
At which of the following ages in a young child's life is parental anticipatory guidance
about temper tantrums most helpful?
A. 8 to 10 months
B. 10 to 12 months
C. 12 to 14 months
,D. 14 to 16 months - ANSWER- B
At which of the following ages in a young child's life is parental anticipatory guidance
about using "time out" as a discipline method most helpful?
A. 12 to 18 months
B. 18 to 24 months
C. 24 to 30 months
D. 30 to 36 months - ANSWER- B
The following are risk factors for hypertension in children and teens (choose all that
apply):
A. being obese.
B. drinking whole milk.
C. being exposed to second-hand smoke.
D. watching 2 or more hours of television per day. - ANSWER- A and C
Fruit juice intake is acceptable in children 6 months and older per the following
recommendation (choose all that apply):
A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
C. Juice replaces no more than one serving of milk.
D. The juice is consumed in the morning with breakfast.
E. No more than 6 oz (177 mL) per day is recommended for children 6 months to 5
years. - ANSWER- ABE
In evaluating a 9-year-old child with a healthy BMI during a well visit, a comprehensive
cardiovascular evaluation should be conducted by the following methods (choose all
that apply):
A. Obtain fasting lipid profile.
B. Screen for type 2 diabetes mellitus by measuring HbA1c.
C. Assess for family history of thyroid disease.
D. Assess diet and physical activity. - ANSWER- A and D
At what age is it appropriate to recommend dietary changes to parents if overweight or
obesity is a concern?
A. 12 months old
B. 5 years old
C. 10 years old
D. 18 years old - ANSWER- A
The following are risk factors for type 2 diabetes mellitus in children and teens (choose
all that apply):
A. hyperinsulinemia.
B. abnormal weight-to-height ratio.
, C. onset of nonorganic failure to thrive in the toddler years.
D. Native American ancestry. - ANSWER- ABD
Screening children with a known risk factor for type 2 diabetes mellitus is recommended
at age 10 or at onset of puberty, and should be repeated how often?
A. every other year.
B. every year.
C. every six months.
D. if child presents with a body mass index in the 85th percentile or higher. - ANSWER-
B
Prediabetes in children is defined as (choose all that apply)?
A. impaired fasting glucose (glucose level ≥100 mg/dL or 6.2 mmol/L) but ≤125 mg/dL
or 7 mmol/L).
B. impaired glucose tolerance (2-hour postprandial ≥140-199 mg/dL or 7.8 mmol/L-11
mmol/L).
C. body mass index in the 85th percentile or higher.
D. body mass index in the 60th percentile or higher. - ANSWER- A and B
Risk factors for dyslipidemia in children include (choose all that apply):
A. blood pressure at the 70th to 80th percentile for age.
B. breastfeeding into the toddler years.
C. family history of lipid abnormalities.
D. family history of type 2 diabetes mellitus. - ANSWER- C and D
Screening cholesterol levels in children with one or more risk factors begins at what
age?
A. birth
B. 2 years
C. 5 years
D. 10 years - ANSWER- B
An acceptable level of total cholesterol (mg/dL) in children and teens is:
A. <170 mg/dL or 9.4 mmol/L.
B. <130 mg/dL or 7.2 mmol/L.
C. 110-130 mg/dL or 6.2 mmol/L-7.2 mmol/L.
D. 130-199 mg/dL or 7.2 mmol/L-11 mmol/L. - ANSWER- A
T/F: low birth weight, and poor infant growth are risk factors for type 2 diabetes -
ANSWER- True
T/F: Prediabetes in children is defined as impaired fasting glucose (glucose level ≥100
mg/dL or 5.6 mmol/L but ≤125 mg/dL or 7 mmol/L) or impaired glucose tolerance (2-
